{"id":11238,"date":"2026-08-23T20:00:00","date_gmt":"2026-08-23T18:00:00","guid":{"rendered":"https:\/\/konspat.pl\/?p=11238"},"modified":"2026-08-31T07:20:55","modified_gmt":"2026-08-31T05:20:55","slug":"przypadek-378","status":"publish","type":"post","link":"https:\/\/konspat.pl\/index.php\/2026\/08\/23\/przypadek-378\/","title":{"rendered":"Przypadek 378."},"content":{"rendered":"\n

Pacjentka 27 letnia przyj\u0119ta na Oddzia\u0142 Chirurgii w trybie ostrym z powodu nasilaj\u0105cego si\u0119 od kilkunastu godzin b\u00f3lu w prawym podbrzuszu z towarzysz\u0105c\u0105 gor\u0105czk\u0105. Wykonano usuni\u0119cie wyrostka robaczkowego.<\/p>\n\n\n\n

Do badania makroskopowego nades\u0142ano w dw\u00f3ch fragmentach wyrostek robaczkowy \u0142\u0105cznej d\u0142ugo\u015bci 6cm, \u015brednicy do 1cm, powierzchnia zewn\u0119trzna brunatna, \u015bciana ogniskowo o zmniejszonej spoisto\u015bci, brunatna.<\/p>\n\n\n\n

Obrazy mikroskopowe:<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n

Cechy charakterystyczne:<\/p>\n\n\n\n

    \n
  • obecno\u015b\u0107 martwicy \u015bciany wyrostka robaczkowego (b\u0142ona \u015bluzowa i mi\u0119\u015bni\u00f3wka w\u0142a\u015bciwa zast\u0105pione kwasoch\u0142onn\u0105 lub zasadoch\u0142onn\u0105 mas\u0105 \/krzy\u017cyk\/ z towarzysz\u0105cym ostrym zapaleniem (granulocyty oboj\u0119tnoch\u0142onne \/czerwona strza\u0142ka\/, makrofagi, nieliczne limfocyty)<\/li>\n\n\n\n
  • ogniskowo zachowany nab\u0142onek bez dysplazji, brak utkania nowotworu z\u0142o\u015bliwego<\/li>\n\n\n\n
  • por\u00f3wnaj z przypadkiem nr 10<\/li>\n<\/ul>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    Rozpoznanie:<\/p>\n\n\n\n

    Zgorzelinowe zapalenie wyriostka robaczkowego (gangrenous appendicitis).<\/p>\n\n\n\n

    Dodatkowe zdj\u0119cia i informacje:<\/p>\n\n\n\n

      \n
    • https:\/\/patologia.cm.umk.pl\/atlas\/gastrointestinal\/apendix\/gangrenous\/index2.html<\/li>\n\n\n\n
    • https:\/\/www.pathologyoutlines.com\/topic\/appendixacuteappendicitis.html<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      Pacjentka 27 letnia przyj\u0119ta na Oddzia\u0142 Chirurgii w trybie ostrym z powodu nasilaj\u0105cego si\u0119 od kilkunastu godzin b\u00f3lu w prawym<\/p>\n","protected":false},"author":46,"featured_media":11226,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[16,23],"tags":[],"class_list":["post-11238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-akademia-patologa","category-przypadki"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/users\/46"}],"replies":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/comments?post=11238"}],"version-history":[{"count":2,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11238\/revisions"}],"predecessor-version":[{"id":11261,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/posts\/11238\/revisions\/11261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/media\/11226"}],"wp:attachment":[{"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/media?parent=11238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/categories?post=11238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/konspat.pl\/index.php\/wp-json\/wp\/v2\/tags?post=11238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}